dc.contributor.author | Aderinwale, Adetayo Seun | |
dc.date.accessioned | 2021-09-08T12:34:44Z | |
dc.date.available | 2021-09-08T12:34:44Z | |
dc.date.issued | 2021 | |
dc.identifier.uri | http://hdl.handle.net/11394/8442 | |
dc.description | Master of Public Health - MPH | en_US |
dc.description.abstract | Background:Theoutcomeofpregnanciesinmanyinstancesislargelypredicatedon
availabilityofSkilledBirthAttendants(SBAs).Despitethisphenomenon,illiteracyand
financialdisadvantagehavebeenvariouslycitedastwinfactorspromotingtheinterest
andpatronageofTraditionalBirthAttendants(TBAs)bywomenfolk.Itistherefore
expected thatwomenhavingtertiarylevelofeducationandpossessing adequate
economic resources would naturally prefer to use the SBAs.However,these
http://etd.uwc.ac.za/
9
observationshavenotsignificantlyreflected therealityin thechoiceofmaternal
healthcareprovidersinNigeriaandthecityofLagosinparticular.Yet,accessto
maternalservicesoftheSBAshasbeenwidelyacceptedasoneoftheleadingwaysof
loweringmaternalmortality.Therefore,inordertoimprovethepatronageofSBAsand
correspondinglylowermaternaldeathrates,itbecomesimperativetounderstandthe
rationalebehindthepreferencefortheTBAs’usebywomenwhoarenotordinarily
expectedtodosobyvirtueoftheirhighlevelofeducationandgoodfinancialcapacity.
Aim:Theaim ofthisstudywastoexploreandunderstandtheexperiences,perception
and beliefsystems influencing well-educated,middle income women and their
reasoningfortheuseofTraditionalBirthAttendantsratherthanSkilledBirthAttendants
fordeliveryservicesinLagos,Nigeria.
Methodology:ThisisaqualitativestudyconductedinAlimoshoLocalGovernmentArea
ofLagosinNigeria.Tenwomenwithtertiarylevelofeducationandbelongingtomiddle
incomeeconomiccategorieswereenrolledasparticipants.Inaddition,itinvolved3
FocusGroupDiscussionscomprising7TraditionalBirthAttendantspergroup.
Results:Behaviouraland attitudinalshortcomings by the SBAs;misconceptions
regardingsurgicaldeliverybywomen;bureaucraticdelaysandbottlenecksexperienced
attheSBAs’centres;thebeliefbythewomenthatpregnancyisasacredandspiritual
eventwhichonlytheTBAshaveabilitytomanage;women’sconfidenceintheTBAsas
havingbettercapacitytomanagecertaincoexistingmedicalconditionsinpregnancy;
andmisinformationonmanagementmodalitiesforcertainconditionslikeinfertilityand
fibroidallcombinetoinfluencepreferenceforutilizationofTBAsbywell-educated,
middleincomewomeninthestudyarea. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of the Western Cape | en_US |
dc.subject | Antenatal Clinic | en_US |
dc.subject | National demographic health survey | en_US |
dc.subject | University of the Western Cape | en_US |
dc.subject | World Health Organization | en_US |
dc.title | Well-educated middle class women and their preference for traditional rather than skilled birth attendants in Lagos Nigeria a qualitative study | en_US |
dc.rights.holder | University of the Western Cape | en_US |